Transcript Highlights:

• You mentioned that there are screening tools on the internet.
• We had those similar screening tools that would capture trigger words.
• In 2016, we started depression screenings across our continuum.
• I think since 2020, we've done over 1.3 million depression screenings so far.
• So this month I'm actually getting screened for that as well.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• similar organizations rely on them for services like HIV testing and contraceptives. ...cancer screenings

Bills: SB664 , SB40 , SB9 , SJR1 , SJR5 , SB27 , SB207 , SB2938 , SB1901 , SB1227 , SB1248 , SB912 , SB1321 , SB2143 , SB2145 , SB1497 , SB1239 , SB2180 , SB1388 , SB1762 , SB1662 , SB1951 , SB1537 , SB493 , SB378 , SB1020 , SB1018 , SB992 , SB958 , SB920 , SB1350 , SCR25 , SB687 , SB1332 , SB2185 , SB552 , SB664 , SB40 , SB9 , SJR1 , SJR5 , SB458 , SB482 , SB927 , SB984 , SB651 , SB1620 , SB2124 , SB2448 , SB841 , SB843 , SB402 , SB2662 , SB2053 , SB2332 , SB2112 , SB745 , SB1247 , SB1789 , SB27 , SB207 , SB2938 , SB1901 , SB1227 , SB1248 , SB912 , SB1321 , SB2143 , SB2145 , SB1497 , SB1239 , SB2180 , SB1388 , SB1762 , SB1662 , SB1951 , SB1537 , SB493 , SB378 , SB1020 , SB1018 , SB992 , SB958 , SB920 , SB1350 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR135 , HCR141 , HCR46 , HCR109 , HCR10 , SCR25 , HB2525 , HB142 , HB140 , HB29 , HB451 , HB3809 , HB3307 , HB 1130 , HJR1 , HB9 , SB17 , SB260 , SB509 , SB1506 , SB1637 , SB2308

Keywords: Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A, bail training, Article 17.024, Article 15.17, local administrative judge, State Commission on Judicial Conduct, Office of Court Administration, county courts, criminal justice, criminal jurisprudence, judicial qualifications

Transcript Highlights:

• As part of our effort to launch the program, we worked closely with other partners to screen initial
• community-based research projects just to address community-identified issues like hate problems and disparities
• We have also convened statewide and regional forums to analyze racial disparities and strengthen cross-community
• The human rights coalition was formed in order to address disparities in reporting that are not met by
• Through this grant, we also hosted a film screening showcasing a film highlighting the stories of Filipino

Committee: House Human Services

Transcript Highlights:

• Further, under EMTALA, hospitals are required to screen and stabilize every patient who presents with
• No, ma'am, but we certainly are seeing that there are ethnic disparities.
• In this testimony today to the committee, there are disparities that you have been seeing.
• And in looking at all of the states, we are seeing a disparity in women of color. In what?
• The clarification is that these women are... are receiving these pills without any pre-screening, without

Bills: HB7 , SB 8 , HB7 , SB 8

Committee: House State Affairs

Transcript Highlights:

• treatment of cholesterol disorder, second-line step therapy medications, and coronary artery calcium screening
• under certain circumstances, broadening eligibility for coronary artery calcium screening, and cholesterol
• I didn't mean to put you on the spot there, Senator Compos, but I think there's a great disparity in
• President, this disparity that I'm seeing right here additional dollars. Mr.
• President, this disparity that I'm seeing right here is not in any way good for those people that are

Summary: The Senate convened with a quorum, prayer, pledges, and a series of announcements recognizing visiting groups and guests, including Pecos High School’s boys cross-country champions, School-Based Health Care Day, Route 66 Centennial activities, New Mexico Highlands University, an honorary lieutenant governor and shadow senator, and Bernalillo County officials. The chamber also received House messages on several bills and a gubernatorial message authorizing consideration of Senate Bill 130, which would change insurance and pharmacy rules related to cholesterol treatment and screening. Committee reports were adopted on several measures, including Senate Bill 183, Senate Bills 211 and 222, Senate Bill 254, Senate Bill 235 as a committee substitute, Senate Bill 40 as a Judiciary Committee substitute, and Senate Bill 104. The Senate then moved to third reading and took up Senate Bill 30, which repeals the state’s abortion reporting requirement. The bill drew extensive debate: supporters argued the reporting law is outdated, unnecessary, and creates privacy and safety risks for providers, while opponents said the data is needed for transparency, public health oversight, and accountability, and objected to the loss of reporting on a sensitive issue. After a roll call vote, Senate Bill 30 passed 24-15. The Senate next passed Senate Bill 43 unanimously, updating parole board procedures, including evidence-based practices, reimbursement for closed hearings, and scheduling protections for homicide victims’ families. It also passed Senate Finance Committee substitute for Senate Bill 35 unanimously, creating judgeships in the First and Second Judicial Districts. Debate then began on Senate Bill 193, which would increase transfers from the Irrigation Works Construction Fund to the acequia community ditch infrastructure fund from $2.5 million to $5 million; the sponsor explained the increase as necessary to meet growing statewide acequia needs, while senators raised concerns about existing fund balances and whether the higher transfer was justified.

Transcript Highlights:

• sort of low stamina for Being able to just learn, I would probably blame that on social media and screen
• I'm here to give public comment related to House Memorial to study screen use in elementary schools.
• When I see screens in the classroom, I think about what they're replacing, which is outdoor learning,
• We know research and evidence shows that screens are bad for young developing brains, bad for mental
• The LA Unified School District just last month passed a resolution to limit Screen time.

Transcript Highlights:

• They have given the universities eight options from the four categories on the screen.
• But it's a mix of—and will change over time because you've got disparity among engineering and STEM degrees
• You can see that there's pretty wide disparity in operating expenses per student among the universities

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to hear two presentations focused on the state university system: an update from the Board of Governors on performance-based funding and a state university efficiency study from Ben Watkins of the Division of Bond Finance. Chair Harrell emphasized accountability, maintaining Florida’s top-ranked higher education system, and getting the best return on state investment. A quorum was present, with several senators excused and one arriving later in the meeting. Sarah Donaghi outlined changes to the performance-based funding model. She said the current model will be used for 2026-27 funding, with only minor benchmark changes for metrics tied to programs of strategic emphasis, reflecting a statutory review that reduced the list of designated programs from about 800 to about 200. She also described a new “PBF 2.0” framework approved by the Board of Governors for implementation in 2027-28 funding, which will combine excellence and improvement measures, update benchmarks to the SUS 2030 strategic plan, reduce “layups” where many schools score perfect tens, expand the affordability metric to include students without loans, remove SUS transfer students from certain graduation metrics, and create a new transfer-student outcome metric. The board will run the new model alongside the current one before using it for funding, and no funding changes will occur this year. Watkins presented findings from an eight-month efficiency study ordered by executive order. Using audited financial data, student outcome data, and personnel data, he concluded that Florida’s universities provide strong value because of low tuition, rising degree production, and improved job placement and earnings outcomes. He said tuition remains the lowest in the country and that state support has increased, while per-student spending has also risen, driven largely by payroll costs. He argued that universities should operate more like business enterprises, with more granular budgeting, clearer financial reporting, and efficiency metrics such as operating expense per student and cost per degree, and he recommended that such measures be incorporated into performance funding and board oversight. Committee members asked about national comparisons, data transparency, payroll growth, admissions selectivity, and whether legislation should require more detailed institutional reporting. The meeting ended with no public comment and adjournment after Senator Bracey Davis moved to adjourn.

Transcript Highlights:

• To address California's particularly low screening rates and the disparities in access across communities
• Many people who qualify for screening either do not know that screening exists or do not realize that
• We talk about breast cancer screening, cervical cancer screening, colorectal screening, but we do not
• actually get screened.
• t be screening tests anymore.

Committee: Senate Health

Transcript Highlights:

• To address California's particularly low screening rates and the disparities in access across communities
• Many people who qualify for screening either do not know that screening exists or do not realize that
• We talk about breast cancer screening, cervical cancer screening, colorectal screening, but we do not
• get screened.
• be screening tests anymore.

Committee: Senate Health

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• That disparity is shared for many of my other school districts that are either declining or stagnant
• As we are moving from panel one to panel two, I will tell my colleagues we have on the screens.
• Hopefully you're able to see them from the screen.
• Exactly where this disparity exists. I represent the town of Bolton.
• And this is a small example of generational historical disparities in investment.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts. Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students. Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.

Transcript Highlights:

• Um, watch the screen here.
• Um, watch the screen here.
• We know that there are stark racial disparities and also across large areas of rural Minnesota, those
• Midwives offer culturally competent, patient-centered care that can help mitigate these disparities.
• Midwives offer culturally competent, patient-centered care that can help mitigate these disparities.

Committee: House Health Finance and Policy

Transcript Highlights:

• To address California's particularly low screening rates and the disparities in access across communities
• Many people who qualify for screening either do not know that screening exists or do not realize that
• We talk about breast cancer screening, cervical cancer screening, colorectal screening, but we do not
• actually get screened.
• be screening tests anymore.

Summary: The committee heard several health-related bills, beginning with SB 1124, which would require the California Department of Public Health to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations. The author and supporters said the bill is intended to raise awareness of a screening that many eligible Californians do not know exists; retailers raised concerns about signage size, distribution, and notice to stores. The bill was presented while the committee lacked quorum, so no vote was taken at that time. Members then heard SB 1150, which would require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author and committee chair emphasized patient awareness and privacy, while registry and university stakeholders said they appreciated the amendments and would continue working on the language. SB 1400 followed, proposing changes to Alameda Health System governance to give Alameda County more flexibility and direct oversight; county and labor supporters said the current structure is too rigid for today’s health care environment, and no opposition was heard. The committee also heard SB 1094, which would expand substitution of biosimilars and generics to lower prescription drug costs. Supporters, including health plans and Sharp Health Care, said the bill would reduce premiums and out-of-pocket costs, while opponents from biotechnology and rheumatology groups raised concerns about pharmacist substitution, patient switching, and therapeutic equivalence. After quorum was established, SB 1094 passed 6-0 and was re-referred to Appropriations. The committee then heard SB 1314, which would create a statewide definition for smoke shops, impose a 600-foot buffer from sensitive sites, and restrict nitrous oxide sales; it drew broad support from local government, pediatric, and law enforcement groups and passed 6-0 on call. SB 1309, which would eliminate cost-sharing for medically appropriate lung cancer screening follow-up care, also passed 7-0 and was re-referred to Appropriations after testimony from clinicians, advocates, and insurers. Finally, SB 1199 was introduced to ban copay accumulators, with the sponsor and author arguing it would ensure patient assistance counts toward out-of-pocket maximums and improve medication access.

Transcript Highlights:

• clearinghouse have different processes to address their own background screenings.
• Different processes to address their own background screenings.
• Modernization of the clearinghouse system in 2024 enables the centralization of all screenings to one
• The bill also addresses the coaches background screening that we talked about a little bit last year
• And history shows us that certain communities have large health disparities.

Bills: S1082 , S1168 , S1756 , S1156 , S1480

Committee: Senate Health Policy

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Transcript Highlights:

• They're just getting a black screen. So I'm very sorry.
• That process is spread out over different agencies and boards with disparate funding mechanisms.
• Madam Chair, Representative, health equity has to do with the disparities that different populations
• So that is, again, an important part of this program: to track and look at what populations are disparately

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• We would rather have people be properly insured because we have this disparity where people who lost
• We would rather have people be properly insured because we have this disparity where people who lost
• into, we see some of the most beneficial low-cost efforts around homes being gutter guards, vent screens
• There's a lot of... ...guards, vent screens, and really we get it.
• I know it's probably on your radar screen, but you're overburdened and I get it. So mutual waters.

Transcript Highlights:

• And I was surprised to learn that we're fourth best in the nation at breast cancer screening rates.
• They're getting screenings, but dying prematurely of cancer. We have a saying internally.
• We do a good job on breast cancer screenings, but what we're not doing is making it really easy for a
• But it's getting the bad news of a cancer-positive screen and then getting the care.
• Transition from our not-so-good death rates to be as good as we are in screenings with survival rates

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• by a federal court case, which found that the system did not work because there could be too much disparity
• by a federal court case, which found that the system did not work because there could be too much disparity
• replaced county-boundary districts after a federal court case found the old system created too much disparity
• And the challenge there is that there is a massive disparity between a small department and those departments
• Members, with your votes for aye, screenings, you have given SB 1567 a do-pass recommendation.

Committee: House House Government Committee of Reference

Summary: The committee first heard SB 1078, which would require courts reviewing public-records disputes to apply de novo review rather than deferring to an agency’s decision to withhold records. Senator Kavanaugh and a Goldwater Institute witness argued the bill would restore transparency and independent judicial review. The committee recommended the bill do pass on a 4-3 vote. The committee then considered SB 1184, which would add military division flags approved by the Department of Defense to the list of flags that HOAs and planned communities may not prohibit. Kavanaugh said the bill responds to HOA restrictions on veterans displaying unit flags. Members discussed whether the bill should also cover other flags, including LGBTQ flags, but no amendment was adopted. The bill passed 7-0. SB 1586 followed, requiring Arizona agencies to post federal guidance they create, adopt, or receive. Supporters said it would improve transparency; an opposing member said agencies already post such material and the bill was unnecessary. It passed 4-3. SB 1665, a state agency hiring reform bill, would require standardized hiring scores, interview panel grades, overall grades, and an appeal process for unsuccessful applicants. The State Personnel Board supported it as a merit-based reform, while ADOA opposed it as costly and burdensome, estimating more than $3 million in compliance costs and warning it could slow hiring. After extended testimony, the committee recommended it do pass 4-3. The committee also approved SCR 1024, which would require legislative candidates to reside in their district for one year and, if affiliated, be members of their party for one year before the election; it passed 6-1 after discussion about residency rules and ballot-measure concerns. Later, the committee heard SB 1135, which increases workers’ compensation burial expenses for fallen first responders from $5,000 to $10,000. Family members and first responders testified in support, describing the financial strain after line-of-duty deaths. The bill passed 6-1 with one member present. SB 1136, which allows surviving spouses of first responders to keep death benefits even if they remarry, also drew emotional testimony from widows and supporters and passed 5-2. The committee then took up SB 1435, expanding the existing prohibition on exposing minors to sexually explicit material to public libraries and making violations a class 6 felony; supporters framed it as child protection, while opponents warned it could chill library access and criminalize librarians. The bill passed 4-3. Finally, SB 1567 was introduced as another expansion of the same underlying law, prohibiting government entities and contractors from exposing minors to sexually explicit materials and from using public facilities for filming or facilitating sexually explicit acts; the sponsor described it as part of a broader effort to protect children, and the committee began discussion of the measure.

Transcript Highlights:

• In 2021, Congress and CMS recognized this disparity, and they fixed this on the Medicare side.
• Representative Brul, do you know what the disparity is between the compensation between the rurals and
• That's a decent disparity. It's a pretty decent disparity.
• I take personal privilege to recognize this morning, now that we got that disparity off of the agenda
• Get that up on the screen. And you tell us, 414. Tell us what it is and why we need it.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Bills: HB1974 , HB1853 , HB1973 , HB1574 , HB2619 , HB1966 , HB1643 , HB1671 , HB2558 , HB1854 , HB2173 , HB1575 , HB2229 , HB1535 , HB1978 , HB2508 , HB1549 , HB2187 , HB1550 , HB1977 , HB2314 , HB1871 , HB2319 , HB1591 , HB1858 , HB1898 , HB2372 , HB1765 , HB2012 , HB1706 , HB1962 , HB1963 , HB1975 , HB2009 , HB2083 , HB2224 , HB1877 , HB1959 , HB1626 , HB1665 , HB2488 , HB2456 , HB2548 , HB2207 , HB1832 , HB2079 , HB1985 , HB1618 , HB2486 , HB2242 , HB2045 , HB1703 , HB2236 , HB2480 , HB1976 , HB2287 , HB2288 , HB1777 , HB276 , HB1660 , HB1676 , HB1605 , HB1751 , HB1967 , HB2383 , HB2340 , HB1946 , HB2268 , HB1950 , HB2156 , HB2118 , HB1859 , HB1863 , HB1996 , HB2114 , HB2423 , HB2429 , HB2475 , HB2534 , HB2545 , HB1813 , HB1941 , HB2474 , HB2583 , HB1576 , HB1886 , HB1939 , HB2540 , HB2590 , HB2000 , HB2163 , HB2386 , HB1691 , HB1680 , HB2516 , HB1993 , HB2442 , HB1510 , HB1958 , HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• </c><02:06:56.800><c> in</c> protection responses for screened in protection responses for screened in
• <02:28:30.000><c> and</c><02:28:30.280><c> rehabilitation</c> disparities and rehabilitation disparities
• However, there are significant geographic disparities in the rate of departures.
• This disparity creates the troubling issue of justice by geography.
• </c><02:31:29.040><c> that</c> socioeconomic or racial disparities that socioeconomic or racial disparities

Committee: Senate Judiciary and Public Safety